Individual provider Active NPI

Andrew David Simkin, M.D.

  • Dermatology Physician
  • Chelmsford, MA
National Provider Identifier
1730179623
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
39025 Issued in MA
Practice address
3 Village SQ
Chelmsford, MA 01824-2712
Phone
(978) 256-4151
Fax
(978) 256-3987
NPI assigned
Oct 24, 2005
Last updated
Aug 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 39025 MA Primary

Addresses

Primary practice location

3 Village SQ
Chelmsford, MA 01824-2712

Mailing address

133 Salem St
Andover, MA 01810-2210
Phone (978) 470-3340

Other identifiers 1

IdentifierTypeStateIssuer
0120413MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000087 MA Practitioner - Dermatology 8921074782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chelmsford Dermatology PCGroup PAC ID 0840266607, 4 clinicians

Practice addresses (Care Compare)

3 Village SQ
Chelmsford, MA 01824-2712
Phone (978) 256-4151

Merit-based Incentive Payment System (MIPS)

Final score
81.9 of 100Reported as group
Quality
75.39
Improvement activities
40
Cost
72.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1862
Removal or shaving of skin growth1-10
Skin biopsy377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford Dermatology, P.C. Dermatology CurrentSince May 1, 1978 Accepting new patients

Locations

3 Village Sq
Chelmsford, MA 01824
Phone (978) 256-4151

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1730179623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SALEM ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102210",
            "telephone_number": "978-470-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-4151",
            "fax_number": "978-256-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKIN",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "39025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120413",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.